2.50
Hdl Handle:
http://hdl.handle.net/10541/109621
Title:
Fungal infections of the small and large intestine.
Authors:
Prescott, R J; Harris, Martin; Banerjee, Saumitra S
Abstract:
AIMS: To study the pathological features of fungal infections affecting the lower intestinal tract (duodenum, small and large bowels). METHODS: Between mid-1981 and mid-1991, 14 cases of deep mycotic infections affecting the lower intestinal tract were found among 890 consecutive necropsies on patients with malignant disease treated in a regional cancer centre (incidence 1.6%). These 14 cases accounted for 54% of all gastrointestinal fungal infection detected. The relevant clinical, necropsy, histological and microbiological data were reviewed. RESULTS: Candida spp and Aspergillus spp accounted for all infections. The macroscopic appearances included ulcers of varying configuration, mucosal flecks, sloughed mucous membranes, polypoid masses and segmental lesions. Either organism could produce this range of lesions, but Candida tended to have a mucosal location and Aspergillus was associated with transmural invasion. Combined infections showed Candida in the surface mucosa and Aspergillus hyphae in submucosal vessels with spread into the bowel wall in a radiating pattern. During the final illness, gastrointestinal symptoms and signs were often slight and microbiological investigations were unhelpful. CONCLUSIONS: Variable gross appearances are relevant for endoscopists, particularly lesions which resemble pseudomembranous colitis. Endoscopic biopsy specimens may have a role in antemortem diagnosis. Failure to diagnose these infections during life emphasises the importance of necropsy in the clinicopathological audit of deaths in this group of patients.
Affiliation:
Department of Histopathology, Christie Hospital and Holt Radium Institute, Manchester.
Citation:
Fungal infections of the small and large intestine. 1992, 45 (9):806-11 J Clin Pathol
Journal:
Journal of Clinical Pathology
Issue Date:
Sep-1992
URI:
http://hdl.handle.net/10541/109620; http://hdl.handle.net/10541/109621
DOI:
10.1136/jcp.45.9.806
PubMed ID:
1401213
Type:
Article
Language:
en
ISSN:
0021-9746
Appears in Collections:
All Christie Publications ; All Christie Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorPrescott, R Jen
dc.contributor.authorHarris, Martinen
dc.contributor.authorBanerjee, Saumitra Sen
dc.date.accessioned2010-08-16T13:23:05Z-
dc.date.accessioned2010-08-16T13:23:04Z-
dc.date.available2010-08-16T13:23:05Z-
dc.date.available2010-08-16T13:23:04Z-
dc.date.issued1992-09-
dc.identifier.citationFungal infections of the small and large intestine. 1992, 45 (9):806-11 J Clin Patholen
dc.identifier.issn0021-9746-
dc.identifier.pmid1401213-
dc.identifier.doi10.1136/jcp.45.9.806-
dc.identifier.urihttp://hdl.handle.net/10541/109620-
dc.identifier.urihttp://hdl.handle.net/10541/109621-
dc.description.abstractAIMS: To study the pathological features of fungal infections affecting the lower intestinal tract (duodenum, small and large bowels). METHODS: Between mid-1981 and mid-1991, 14 cases of deep mycotic infections affecting the lower intestinal tract were found among 890 consecutive necropsies on patients with malignant disease treated in a regional cancer centre (incidence 1.6%). These 14 cases accounted for 54% of all gastrointestinal fungal infection detected. The relevant clinical, necropsy, histological and microbiological data were reviewed. RESULTS: Candida spp and Aspergillus spp accounted for all infections. The macroscopic appearances included ulcers of varying configuration, mucosal flecks, sloughed mucous membranes, polypoid masses and segmental lesions. Either organism could produce this range of lesions, but Candida tended to have a mucosal location and Aspergillus was associated with transmural invasion. Combined infections showed Candida in the surface mucosa and Aspergillus hyphae in submucosal vessels with spread into the bowel wall in a radiating pattern. During the final illness, gastrointestinal symptoms and signs were often slight and microbiological investigations were unhelpful. CONCLUSIONS: Variable gross appearances are relevant for endoscopists, particularly lesions which resemble pseudomembranous colitis. Endoscopic biopsy specimens may have a role in antemortem diagnosis. Failure to diagnose these infections during life emphasises the importance of necropsy in the clinicopathological audit of deaths in this group of patients.en
dc.language.isoenen
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshAspergillosis-
dc.subject.meshCandidiasis-
dc.subject.meshDuodenal Diseases-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshIntestinal Diseases-
dc.subject.meshIntestine, Large-
dc.subject.meshIntestine, Small-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.titleFungal infections of the small and large intestine.en
dc.typeArticleen
dc.contributor.departmentDepartment of Histopathology, Christie Hospital and Holt Radium Institute, Manchester.en
dc.identifier.journalJournal of Clinical Pathologyen
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